Evaluation of a simple intervention to reduce exchange transfusion rates among inborn and outborn neonates in Myanmar, comparing pre- and post-intervention rates

Table 7 Characteristics of neonates treated for jaundice with LED machines post-intervention

	Inborn		Outborn
	Hospital A	Hospital B	Hospital A	Hospital B
Months reported^a	13	19	12	20
Neonates treated on LED	433	266	339	251
Infants treated/month^aMedian [IQR]	32 (25–49)	12 (10–17)	30 (19.5–34.5)	10.5 (8.5–15)
Age at admission (days)^b: Median [IQR]	2.0 [2.0–4.0]	2.0 [1.0–3.0]	3.0 [2.0–5.0]	3.0 [2.0–5.0]
TSB at admission^c (μmol/L): Median [IQR]	301 [255–347]	249 [211–280]	325 [234–473]	311 [224–445]
Admitted with EH^c: n (%)	12 [2.8 %]	11 [4.3 %]	105 [31.6 %]	59 [26.8 %]
Of those with EH, number given ET: n (%)	11 [91.7 %]	5 [45.5 %]	70 [66.7 %]	23 [39.0 %]
Age at admission of infants with EH (days): Median [IQR]	3.0 [2.0–4.5]	2.0 [2.0–4.0]	4.0 [2.0–5.0]	3.0 [2.0–4.0]
Age at admission of infants without EH (days): Median [IQR]	2.0 [2.0–4.0]	2.0 [1.0–3.0]	3.0 [2.0–5.0]	3.0 [2.0–5.0]
Duration of phototherapy (days)^d: Median [IQR]	1.0 [1.0–1.0]	2.0 [1.0–2.0]	1.0 [1.0–2.0]	2.0 [1.0–2.0]
TSB at ET^e (μmol/L): Median [IQR]	393 [335–431]	405 [362–456]	500 [475–513]	474 [416–539]

ET Exchange Transfusion, EH Extreme Hyperbilirubinaemia (TSB >428 μmol/L), IQR Interquartile range
^aOutborn Hospital A reported 12 months of data, spread over 20 months from late November 2011 to June 2013, due to staffing interruptions. The other three hospitals reported data for consecutive month. Data at Inborn Hospital A were partial for the first and last of 14 reporting months, leading to an estimated 13 reporting months; the median and IQR exclude the first and last month
^bAge at admission was missing for one record at Inborn Hospital A and four records at Inborn Hospital B
^cTSB at admissions was missing for eight records at Inborn Hospital B, seven at Outborn Hospital A, and 31 at Outborn Hospital B
^dDuration of phototherapy was missing for 1 neonate at Inborn Hospital A, 2 at Inborn Hospital B, 84 at Outborn Hospital A and 22 at Outborn Hospital B
^eTSB at ET was missing for 5 of 64 transfused neonates at Inborn Hospital A, 5 of 18 transfused neonates at Inborn Hospital B, 42 of 88 transfused neonates at Outborn Hospital A, and 12 of 38 transfused neonates at Outborn Hospital B; note that most readings at Outborn Hospital A were performed on equipment with a maximum possible reading of 513 μmol/L

ISSN: 1471-2431